摘要
目的探索微创手术治疗高龄前列腺增生症(benign prostatic hyperlasia,BPH)的安全有效新方法. 方法采用经尿道前列腺电汽化(transurethal vaporiyation of prostate,TUVP)联合撬拨术治疗80岁以上BPH 68例. 结果手术时间30～160 min,平均60 min,切除腺体重量12.5～98.5 g,平均37.6 g,术中出血量30～120 ml,平均65 ml,术后住院5～7 d,平均6 d.术后随访0.5～2年,国际前列腺症状评分由(23.5±4.2)分降至(6.5±2.1)分,生活质量评分由(4.6±0.6)分降至(2.2±0.2)分,最大尿流率由(8.7±4.3)ml/s升至(18.0±2.2)ml/s,剩余尿由(176.0±86.7)ml降至(12.2±2.4)ml.与术前相比,术后6个月均得到显著改善(P＜0.01). 结论 TUVP加撬拨术治疗高龄BPH安全有效,并发症少.
Objective To explore a new and effective minimally invasive procedure in the management of benign prostatic hyperplasia (BPH) in senile patients. Methods Transurethral vaporization of the prostate (TUVP) with prying-up technique was performed in 68 patients above the age of 80 with BPH. Results The mean procedure duration was 60 min, and the mean weight of resected prostate was 37.6 g. The mean intraoperative blood loss was 65 ml, and the mean hospital stay, 6 days. Postoperative ~follow-up for 0.5~2 years showed the international prostate symptom score (IPSS) decreased from 23.5±4.2 to 6.5±2.1, the quality of life index (QOL) was reduced from 4.6±0.6 to 2.2±0.2, the maximum flow rate (Qmax) elevated from 8.7±4.3 ml/s to 18.0±2.2 ml/s, and the residual urine (RU) dropped from 176.0±86.7 ml to 12.2±2.4 ml. As compared with preoperative values, all the parameters were significantly improved 6 months after the procedure (P<0.01). Conclusions TUVP with prying-up technique is a safe and effective minimally invasive procedure for BPH in elderly patients, with less complications.
出处
《中国微创外科杂志》
CSCD
2005年第4期312-313,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
前列腺增生症
经尿道前列腺电汽化
撬拨术
老年人
Benign prostatic hyperplasia
Transurethral vaporization of the prostate
Prying-up technique
Aged
